Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Tonsillectomy Primary/Secondary <Age 12
Utica, NY
See all hospitals reporting CPT 42825 →Price type
MVHS, Inc.’s median price of $38 is 99% below the median hospital's median price ($5.8k), higher than 0% of the 1,780 hospitals reporting CPT 42825. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 3 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 4 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 5 | UnitedHealthcare uhc commercial fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 6 | Humana humana military other · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 7 | Tricare humana military other · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 8 | Excellus excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | — | — | 1–10 | $7.0k – $7.0k |
| 9 | Excellus excellus bcbs medicare advantage other · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 10 | Humana humana medicare advantage other · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 11 | Medicare medicare other · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 12 | Optum vaccn optum other · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 13 | UnitedHealthcare uhc medicare advantage other · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 14 | Aetna aetna medicare advantage other · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 15 | WellCare wellcare medicare advantage other · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 16 | Cigna mvp and cigna commercial other · outpatient | $21.2k | $21.2k | — | — | — | $21.2k – $21.2k |
Last updated: Aug 7, 2026
See Tonsil removal for children under 12 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.